Resumo

QUERALES, Marvin et al. Cintura hipertrigliceridémica y resistencia a la insulina en una comunidad rural y una urbana de Tinaquillo, Venezuela. Rev. Venez. Endocrinol. Metab. [online]. 2014, vol.12, n.1, pp.25-33. ISSN 1690-3110.

Objective: To evaluate the frequency of hypertriglyceridemic waist (HTW) and insulin resistance (IR) and its association with cardiovascular risk factors in a rural community and an urban community Tinaquillo, Cojedes State, Venezuela. Methods: Eighty-nine individuals older than 18 years (45 belonging to the rural community and 44 from the urban community) were evaluated. Weight, height, waist circumference, blood pressure were measured, and glucose, insulin, triglycerides, total cholesterol, LDLc and HDLc in serum were determined. In addition, a questionnaire was applied to know personal history of cardiovascular disease (CVD) and lifestyle. Results: A low frequency of HTW (9%) was found. By contrast, the frequency of IR was high (51%), which was high in both communities but significantly higher in urban community. HTW was statistically associated with the presence of IR and obesity in the total group. The IR was statistically significant with obesity and abdominal obesity in both the total group and in the communities evaluated separately. Conclusions: The results confirm that the upcoming industrialization communities are at increased risk for cardiovascular disease. However, the rural community showed a significant frequency of IR, indicating that this population is also prone to cardiovascular risk, suggesting that emerging programs in health promotion should be reach to rural communities and not just urban communities.

Palavras-chave : Hypertriglyceridemic waist; insulin resistance; cardiovascular disease; rural population; urban population.

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